20080973 Ver 3_PCN Form Submission_20181109

DWR
MOM— of Water Resources
Site Coordinates
Latitude: Longitude:
35.631692 -78.829662
FA. Processing Information U
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
P Nationwide Permit (NWP)
F- Regional General Permit (RGP)
F Standard (IP)
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
tial Review
Has this project met the requirements for acceptance
in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Oiange only if needed.
BIMS # Assigned *
Version#*
20080973
3
Is a payment required for this project?*
* No payment required
What amout is owed?*
* Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office*
Select Project Reviewer*
Central Office - [phone]
Paul Wcjoski:EADS\pawojoski
Information for Initial Review
1a. Name of project:
Lowe's of Holly Springs
1a. Who is the Primary Contact?*
Matt Bramblett, PE - Hart & Hickman, PC
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
[e-mail]
[phone]
Date Submitted
11/9/2018
Nearest Body of Water
Unnamed tributaries of Basal Creek
Basin
Neuse
Water Classification
B; NSW
Site Coordinates
Latitude: Longitude:
35.631692 -78.829662
FA. Processing Information U
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
P Nationwide Permit (NWP)
F- Regional General Permit (RGP)
F Standard (IP)

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
39 - Commercial/Institutional Developments
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r- Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
O Yes r No
B. Applicant Information
1d. Who is applying for the permit?
F_ Owner W Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
r Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
Vaughan Farms Limited Partnership / Rupert L. Vaughan, Jr.
2b. Deed book and page no.:
015711-01395
2c. Responsible party:
2d. Address
Street Address
3724 Stepherly Way
Address Line 2
CKY
Holly Springs
Postal / Zip Code
27540
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Stancil Stancil - Lowe's LLC
2b. Deed book and page no.:
017055-00589
State / Ffovinoe / fbgion
NC
Ceuntry
USA
2f. Fax Number:
r Yes r No
r Yes r No

2c. Responsible party:
Freddie L. Stancil
2d. Address
Street Address
466 Stancil Road
Address Line 2
City
Angier
Postal / Zip Code
27501
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Travis Spicer
3b. Business Name:
Lowe's Home Centers, LLC
3c.Address
Street Address
1605 Curtis Bridge Road
Address Line 2
city
N. Wilkesboro
Postal / Zip Code
28697
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
I.roject Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Holly Springs
2. Project Identification
State / Province / f�egion
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
2a. Property Identification Number:
2b. Property size:
0648949728,0658043671,& 0658049799
41.5
2c. Project Address
Street Address
2100 Ralph Stephens Road, 2106 Ralph Stephens Road, & 1621 Little Moccasin Lane
Address Line 2
city
State/ Province/ Region
Holly Springs
NC
Postal / Zip (ode
Country
27540
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Unnamed tributaries of Basal Creek
3b. Water Resources Classification of nearest receiving water:*
B; NSW
3c. What river basin(s) is your project located in?*

Neuse
3d. Please provide the 12 -digit HUC in which the project is located.
030202010901
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The Site consists of three parcels located at 2100-2106 Ralph Stephens Road and 1621 Little Moccasin Lane in Folly Springs, Wake County, North
Carolina. The western and eastern portions of the Site consists primarily of undeveloped wooded land, and the central portion of the Site consists
primarily of fallow agricultural field. Residential use is to the south and east, active construction is to the west, and forested land is to the north.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r^ Yes r No r^ Unknown
4d. Attach an 8 1/2X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Figure 1.pdf
366.49KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Wake Co Hard Copy Soil Survey.pdf 4.78MB
4f. List the total estimated acreage of all existing wetlands on the property:
2.197 ac of wetlands and 0.198 acre of open waters
4g. List the total estimated linear feet of all existing streams on the property:
1,402 linear feet of intermittent stream
4h. Explain the purpose of the proposed project:*
The project is for development of a 94,000 -square foot Lowe's store and a 99,000 -square foot grocery store including parking, roadways, and utilities.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The planned development area will be graded with heavy equipment to prepare level building pads. Stormwater BMPs are included.
4j. Please upload project drawings for the proposed project.
22 OVERALL GRADING PLAN.pdf
2.32MB
23 GRADING PLAN 1 OF 4.pdf
1.07MB
24 GRADING PLAN 2 OF 4.pdf
1.05MB
25 GRADING PLAN 3 OF 4.pdf
852.16KB
26 GRADING PLAN 4 OF 4.pdf
960.35KB
Overall Site Plan.pdf
809.51 KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No 4 Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Danielle Clark
Agency/Consultant Company: Hart & Hickman, PC
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
H&H met Mr. James Lastinger of USACE and Mr. Rick Trone of DEQ DWR on June 5, 2018 for a PJD and buffer determination site review and preapp
meeting.
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
7b. If yes, explain.
The Site developer is proposing to construct the grocery store at a later date than the Lowe's store. However, during the development of the Lowe's
store, grading, drainage, and installation of utilities for the whole site will be completed. The construction of the grocery store at a later date will not
include additional impacts to wetlands, streams, or stream buffers.

Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed projector related activity?
No
0
D. Proposed Impacts Inventory
31. Total permanent stream impacts:
1. Impacts Summary
121
1a. Where are the impacts associated with your project? (check all that apply):
31. Total stream and ditch impacts:
fJ Wetlands W Streams -tributaries
W Buffers
i- Open Waters r Pond Construction
3j. Comments:
2. Wetland Impacts
6. Buffer Impacts (for DWR)
2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W. * 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Wetland Impact Fill for public roadway P Headwater Forest Wetland 'D' Yes Corps 0.022
'A' Improvements (acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.022
2h. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.022
❑ 3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact *_]-
ffi name* 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
M Jurisdiction* length*
Culvert for roadway crossin Permanent Culvert Trib. of Basal Creek Intermittent Cors t�E�:] Y 9 P_]
31. Total jurisdictional ditch impact in square feet:
6c. Per or Temp
0
6e. Buffer mitigation required?
31. Total permanent stream impacts:
31. Total temporary stream impacts:
121
0
31. Total stream and ditch impacts:
No
121
5,007
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
V Neuse
I` Tar -Pamlico
F Catawba
r Randleman
F Goose Creek
r Jordan Lake
F Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 7 impact
6g. Zone 2 impact
Roadway crossing and grading
P
Trib. of Basal Creek
No
5,23711
5,007
6h. Total buffer impacts:
Zone 1
Zone 2
Total Temporary impacts: 0.00
0.00
Zone 1
Zone 2
Total Permanent impacts: 5,237.00
5,007.00
Zone 1
Zone 2

Total combined buffer impacts: 5,237.00 5,007.00
61. Comments:
Supporting Documentation
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Avoidance
The proposed development is located at 2100 Ralph Stephens Road, 2106 Ralph Stephens Road, and 1621 Little Moccasin Lane in Holly Springs,
Wake County, North Carolina. The Site consists of three tax parcels (Parcel #s 0648949728, 0658043671, and 0658049799) that total apprommately
41.5 acres.
H&H reviewed State and Federal Threatened and Endangered Species databases for the Site and conducted a screening survey of the Site and
surrounding area for Federal Threatened and Endangered Species, and none were identified. H&H also reviewed the National Registry of Historic
Places (NRHP) for Sites located in Wake County, North Carolina; the North Carolina State Historic Preservation Office (NC SHPO) GIS viewer; and the
Site and surrounding area via visual reconnaissance for the potential presence of historic, cultural, and/or archeological sites. Although the Jeff
Stephens/Alsey J. and Missouri Stephens House and farm complex are located in the eastern portion of the Site and were determined eligible for the
NRHP in 1997, the NC SHPO determined that the structures have since lost the structural and architectural integrity required to meet the eligibility
requirements. Therefore, the removal of these structures during the development of the proposed project will not have an adverse effect on a historic
property. Furthermore, NC SHPO determined that distance and vegetative barriers create an acceptable buffer between the Site and the NRHP-
eligible Richard L. Adams Farm located to the southeast of the Site, and therefore, the proposed project will not affect this historic property. H&H
requested comment on the Site from the United States Fish and Wildlife Service (FWS), North Carolina Wildlife Resources Commission (WRC), and
NC SHPO. Agency responses are included in Appendix D.
In regards to Site alternatives, the prospective developer has considered and evaluated other potential properties in the area for development of the
proposed commercial project. However, properties or property assemblages of this size are difficult to find and purchase along the frontage of major
road intersections. Additionally, the Site is ideally zoned as community business. The building footprints and access roadways have been designed to
primarily occupy upland areas to avoid on -Site Waters of the US to the ma>amum extent practicable. Furthermore, the wetlands, stream, and pond
located in the western portion of the Site will be completely avoided by the proposed development. Furthermore, Wetland 'B', Wetland 'C', and Pond
'2' in the eastern portion of the Site will also be completely avoided by the proposed development.
Minimization
To minimize Site impacts, the proposed Site plan was designed to avoid Waters of the US to the mapmum extent practicable. Site buildings, parking,
and stormwater management areas have been designed to occupy upland areas. The Site plan proposes two ingress/egress roadways into the Site,
which are required by the Town of Holly Springs in accordance with a traffic study. Of the 2.197 acres of wetlands on -Site, the developer is proposing
to impact only 0.022 acre of wetlands. Furthermore, of the 1,403 linear feet of streams located on -Site, the developer is proposing to impact only 121
linear feet of stream.
A previously designed preliminary Site plan prepared by Freeland & Kauffman, Inc. dated May 21, 2018 indicates that the developer originally
proposed a 103,000 -square foot Lowe's store, additional parking in the northeastern portion of the Site, and 12,000 -square feet of additional shops in
the northern portion of the Site. The development of the preliminary Site plan would have resulted in approximately 0.5 acre of wetland impact and 297
linear feet of stream impact. The Site developer has redesigned the Site plan to further reduce the impacts to on -Site streams and wetlands by
removing the parking spaces in the northeastern portion of the Site and removing the 12,000 -square feet of additional shops in the northern portion of
the Site. Furthermore, the Lowes store has been reduced from 103,000 square feet to 94,000 square feet. The preliminary Site plan is included in
Appendix F, and the current Development Plan is included in Appendix B.
To further minimize Site impacts, the proposed roadway in the east -central portion of the Site was redesigned to cross SCB at a perpendicular angle.
Furthermore, the impacts to Wetland 'D' are to the northernmost and upgradient portion of the wetland allowing the majority of Wetland 'D' to remain
intact. In addition, during Site development, good erosion and sediment control practices will be followed. Extensive silt fencing will be used on the
construction Site perimeter and along stream and wetland boundaries.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

Avoidance
The proposed development is located at 2100 Ralph Stephens Road, 2106 Ralph Stephens Road, and 1621 Little Moccasin Lane in Folly Springs,
Wake County, North Carolina. The Site consists of three tax parcels (Parcel #s 0648949728, 0658043671, and 0658049799) that total approximately
41.5 acres.
H&H reviewed State and Federal Threatened and Endangered Species databases for the Site and conducted a screening survey of the Site and
surrounding area for Federal Threatened and Endangered Species, and none were identified. H&H also reviewed the National Registry of Historic
Places (NRHP) for Sites located in Wake County, North Carolina; the North Carolina State Historic Preservation Office (NC SHPO) GIS viewer; and the
Site and surrounding area via visual reconnaissance for the potential presence of historic, cultural, and/or archeological sites. Although the Jeff
Stephens/Alsey J. and Missouri Stephens House and farm complex are located in the eastern portion of the Site and were determined eligible for the
NRHP in 1997, the NC SHPO determined that the structures have since lost the structural and architectural integrity required to meet the eligibility
requirements. Therefore, the removal of these structures during the development of the proposed project will not have an adverse effect on a historic
property. Furthermore, NC SHPO determined that distance and vegetative barriers create an acceptable buffer between the Site and the NRHP-
eligible Richard L. Adams Farm located to the southeast of the Site, and therefore, the proposed project will not affect this historic property. H&H
requested comment on the Site from the United States Fish and Wildlife Service (FWS), North Carolina Wildlife Resources Commission (WRC), and
NC SHPO. Agency responses are included in Appendix D.
In regards to Site alternatives, the prospective developer has considered and evaluated other potential properties in the area for development of the
proposed commercial project. However, properties or property assemblages of this size are difficult to find and purchase along the frontage of major
road intersections. Additionally, the Site is ideally zoned as community business. The building footprints and access roadways have been designed to
primarily occupy upland areas to avoid on -Site Waters of the US to the mapmum extent practicable. Furthermore, the wetlands, stream, and pond
located in the western portion of the Site will be completely avoided by the proposed development. Furthermore, Wetland 'B', Wetland 'C', and Pond
'2' in the eastern portion of the Site will also be completely avoided by the proposed development.
Minimization
To minimize Site impacts, the proposed Site plan was designed to avoid Waters of the US to the maximum extent practicable. Site buildings, parking,
and stormwater management areas have been designed to occupy upland areas. The Site plan proposes two ingress/egress roadways into the Site,
which are required by the Town of Holly Springs in accordance with a traffic study. Of the 2.197 acres of wetlands on -Site, the developer is proposing
to impact only 0.022 acre of wetlands. Furthermore, of the 1,403 linear feet of streams located on -Site, the developer is proposing to impact only 121
linear feet of stream.
A previously designed preliminary Site plan prepared by Freeland & Kauffman, Inc. dated May 21, 2018 indicates that the developer originally
proposed a 103,000 -square foot Lowe's store, additional parking in the northeastern portion of the Site, and 12,000 -square feet of additional shops in
the northern portion of the Site. The development of the preliminary Site plan would have resulted in appropmately 0.5 acre of wetland impact and 297
linear feet of stream impact. The Site developer has redesigned the Site plan to further reduce the impacts to on -Site streams and wetlands by
removing the parking spaces in the northeastern portion of the Site and removing the 12,000 -square feet of additional shops in the northern portion of
the Site. Furthermore, the Lowe's store has been reduced from 103,000 square feet to 94,000 square feet. The preliminary Site plan is included in
Appendix F, and the current Development Plan is included in Appendix B.
To further minimize Site impacts, the proposed roadway in the east -central portion of the Site was redesigned to cross SCB at a perpendicular angle.
Furthermore, the impacts to Wetland 'D' are to the northernmost and upgradient portion of the wetland allowing the majority of Wetland 'D' to remain
intact. In addition, during Site development, good erosion and sediment control practices will be followed. Extensive silt fencing will be used on the
construction Site perimeter and along stream and wetland boundaries.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Mitigation is typically required by the USACE Nationwide Permit 39 for impacts greater than 0.1 acre of wetlands and/or 150 linear feet of stream. Due to the planned impacts of 0.022
acre of wetlands and 121 linear feet of stream, compensatory mitigation for wetland and stream impact is not proposed. According to the Table of Uses of the Neuse Buffer Rule, a
roadway crossing that impacts greater than 40 linear feet but equal to or less than 150 linear feet or one-third of an acre of riparian buffer is allowable without mitigation. Therefore,
compensatory stream buffer mitigation is not proposed.
CStormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
What type of SCM are you providing?
P Level Spreader
F- Vegetated Conveyance (lower SHWT)
F- Wetland Swale (higher SHWT)
F Other SCM that removes minimum 30% nitrogen
F- Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
22 OVERALL GRADING PLAN.pdf 2.32MB
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r^ Yes r No
�u

2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
2d. Which of the following stormwater management program(s) apply:
P Local Government r State
Local Government Stormwater Programs
R Phase II W NSW r USMP r Water Supply
Please identify which local government stormwater program you are using.
Town of Folly Springs
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B.0200)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The proposed site plan will develop the majority of the Site during the development of the Lowe's store. Although the construction of the grocery store
Wil occur at a later date, the Site will be pad -ready for that construction. The current plans for the grocery store construction are included on the plans
provided in Appendix B. The construction of the grocery store at a later date will not result in additional impacts to streams, wetlands, or stream
buffers.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
Wastewater will enter municipal sanitary sewer infrastructure and will be piped to an off-site municipal wastewater treatment plant.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat? *
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
Se. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?

r Yes r No
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the property.
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
DEQ Natural Heritage Program and Fish & Wildlife Service on-line databases and on -Site reconnaissance
Consultation Documentation Upload
USFWS Response 3-22-18.pdf 1.13MB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
http://www.habitat.noaa.gov/protection/efh/efhmapper/
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The National Registry of Historic Places and NC State Historic Preservation Office databases and on-site reconnaissance
7c. Historic or Prehistoric Information Upload
Ashley and Missouri Stephens House Report.pdf 895.2KB
ER 18-0440 April.pdf 101.32KB
ER 18-0440.pdf 101.85KB
SHPO Letter Ralph Stephens Road.pdf 2.78MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
Reviewed FEMA Flood Insurance Rate Map ID #3720065800J & 3720064800J
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
W By checking the box and signing below, I certify that:
I have given true, accurate, and complete information on this form;
I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
. I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the PCN form.
Full Name:
Danielle Clark
Signature
Sign
Date
11/9/2018